You will apply a high level of specialised knowledge to independently manage a portfolio of claims including facilitating appointments and assessment and settlement of treatment, care and support damages in accordance with legislative, regulatory and procedural guidelines to the National Injury Insurance Agency, Queensland (NIISQ Agency), Motor Accident Insurance Commission (MAIC) and Nominal Defendant (ND) (collectively referred to as the Motor Accident Insurance Schemes Queensland or MAIS-Q).
The employing entity for this role is NIISQ Agency.
PLEASE NOTE: two roles are available with fixed term temporary and permanent arrangements possible. Your role
Lead and proactively manage a portfolio of files, including catastrophic injuries, in accordance with legislative, regulatory and procedural guidelines to achieve cost effective and timely claim resolutions, ensuring compliance with legislative and regulatory requirements.
Provide high level specialised advice in relation to the Scheme legislation, policy and specific claim matters.
Deliver and undertake full reviews of individual cases at lifetime participant stage to put forward recommendations for acceptance or rejection with close consideration to the legislative requirements. This includes new assessments, liaising with external parties, support planners and managers.
Support and assess the eligibility of interim and/or lifetime applications that includes thorough and collaborative decision making and assessment of all aspect of a participant's medical evidence for interim eligibility.
About you
To be successful in this role you will demonstrate a strong commitment to shared values, and a broad skillset that includes:
Extensive knowledge and expertise in proactively managing a portfolio of motor vehicle injury claim files in accordance with legislative, regulatory and procedural guidelines.Demonstrated experience and work history in claims management with catastrophic injuries.Strong planning and administrative skills to effectively and independently manage all aspects of each claim within legislated timeframes and requirements, including assessing compensation entitlements and initiating a range of correspondence.Excellent communication skills, ability to build rapport, communicate complex information, and influence and negotiate with a variety of stakeholders including claimants, third party providers, external bodies and internal teams.A proven track record in making sound decisions and recommendations based on relevant evidence in relation to serious personal injuries and complex claim matters in a statutory environment.***APPLICANTS ARE REQUESTED TO APPLY ONLINE - scroll down and click the 'APPLY ONLINE' button*** Please note any documents attached to Smart Jobs should be in Microsoft Word or PDF format. Please do not upload zipped files. Further informationWe are committed to building inclusive cultures in the Queensland public sector that respect and promote human rights and diversity .
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